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Missouri rates for HCPCS 69805

Endolymphatic sac operation; without shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.81 / $920.52 / $1,110.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,265.40 / $1,959.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.50 / $1,513.34 / $2,545.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.80 / $1,903.10 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.33 / $1,680.67 / $8,569.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.10 / $1,354.04 / $2,289.82